Location: St. Petersburg, FL (33710) – On-site
Position Type: Full-Time, permanent
Salary: $19.00+ / hour plus benefits

About Us:

Advanced Bay Area Medical Associates is the leading provider of infectious disease consultations at two major hospitals in the area and one of the largest private providers of HIV care and general infectious disease in the Tampa Bay Region, while also serving as primary care Internal Medicine providers.  With over 20 years of excellence, our well-established ID/IM group is committed to delivering high-quality medical care while fostering meaningful relationships with our patients and their families.

About the Medical Billing Specialist:

We are seeking an experienced medical coder/biller to join our team on-site and play a critical role in driving revenue cycle success while enhancing the patient experience. As a healthcare billing specialist, the person will serve as the primary subject matter expert for all billing-related matters within the office, contributing to a positive, professional team environment. The ideal candidate must be able to handle difficult conversations about patient balances with tact and diplomacy, ensuring patient confidentiality at all times.

Key Responsibilities:

• Claims Management:
  • Prepare, review, and submit accurate medical claims to insurance companies.
  • Follow up on unpaid or denied claims to ensure timely reimbursement.
• Payment Processing and Collections:
  • Post payments from insurance companies and patients.
  • Reconcile accounts to ensure accuracy.
  • Prepare accurate and timely patient billing statements.
  • Coordinate collection activities to address past due patient balances.
• Coding:
  • Assign appropriate ICD-10, CPT, and HCPCS codes to patient services based on providers’ documentation.
  • Ensures coded procedures, diagnoses, charges and documentation meet appropriate guidelines and standards.
  • Stay updated with changes in coding regulations and ensure compliance.
• Insurance Verification:
  • Verify patient insurance coverage and benefits.
  • Address and resolve any discrepancies or issues related to insurance claims.
• Patient Communication:
  • Respond to patient inquiries regarding billing and insurance.
  • Provide clear explanations of charges and payment options.
• Compliance:
  • Maintain strict confidentiality of patient information in accordance with HIPAA regulations.
  • Ensure all billing activities comply with federal and state regulations.
• Reporting:
  • Generate and analyze reports related to billing activities, accounts receivable, and revenue cycle performance.
• Internal Communication:
  • Serves as the practice’s subject matter expert for all billing-related topics, proactively educating, coaching, and guiding providers and staff on billing policies, processes, and best practices.
  • Regularly communicate updates and changes in billing regulations, offer actionable insights to improve billing accuracy, and collaborate with internal teams to address any billing-related concerns.
  • Demonstrate tact and diplomacy when providing feedback and ensure all team members are well-informed to support a seamless revenue cycle.

Qualifications:

• Education:
  • High school diploma or equivalent required; Associate’s degree in healthcare administration or related field preferred.
• Experience:
  • Minimum of 2 years of medical billing experience, preferably in a small practice setting.
• Certifications:
  • Certification in medical billing and coding is highly desirable (e.g., CPB, CMRS, CBCS, CCS, CPC).
• Technical Skills:
  • Proficiency in medical billing software and electronic health records (EHR) systems. Experience with eClinicalWorks is a plus.
  • Familiarity with coding systems such as ICD-10, CPT, and HCPCS.
• Analytical Skills:
  • Strong attention to detail with the ability to identify and resolve billing discrepancies.
• Communication Skills:
  • Excellent verbal and written communication skills for effective, professional interaction with patients, providers, and insurance companies.
• Organizational Skills:
  • Ability to manage multiple tasks efficiently and meet deadlines.

Benefits:

• Competitive salary commensurate with experience.
• Health and dental insurance options.
• Paid time off and holidays.
• Opportunities for professional development and continuing education.
• 401k and profit-sharing.

Application Process:

Interested candidates are invited to submit their resume and optional cover letter detailing their relevant experience and qualifications to Manager@abamamd.com. Applications will be reviewed on a rolling basis until the position is filled.

We are an equal opportunity employer and welcome applications from all qualified individuals.